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RWII33903 Florida Department of Health - Lee County (Terminated)
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Main Details
Name
Florida Department of Health - Lee County
Subdivision Name
Pondella
Type
Ryan White Part B
340B ID
RWII33903
Grant Number
X07HA00057
Additional Details
Current Program Status
Terminated
Registration Date
4/12/2016
Participating Start Date
7/1/2016
Participating Approval Date
4/27/2016
Last Recertification Date
3/5/2018
Time Period the Assistance was Received
Termination Date
Termination Reason
4/1/2019
Site closure
Contacts
Authorizing Official
FDOH Lee
Angela M. Smith, Administrator
(239) 461-6150
Primary Contact
FDOH Lee
Mary Beth Riendeau, Executive Community Health Nursing Director
(239) 332-9576
Addresses
Street Address
83 Pondella Road
North Fort Myers, FL 33903
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
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